Provider Demographics
NPI:1780190603
Name:HAMIT, CHARLES LEE
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:LEE
Last Name:HAMIT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:NOWATA
Mailing Address - State:OK
Mailing Address - Zip Code:74048-2601
Mailing Address - Country:US
Mailing Address - Phone:918-273-3900
Mailing Address - Fax:918-273-3900
Practice Address - Street 1:111 W DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:NOWATA
Practice Address - State:OK
Practice Address - Zip Code:74048-2616
Practice Address - Country:US
Practice Address - Phone:918-273-3900
Practice Address - Fax:918-273-3900
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist